2024-05-06T14:16:11-05:00 2023-06-30 990 2022-07-01 261318515 MERCY HEALTH FORT SMITH COMMUNITIES MERC 3145796100 7301 ROGERS AVENUE FORT SMITH AR 72903 GRETA WILCHER CHIEF FINANCIAL OFFICER 3145796100 2024-05-06 GRETA WILCHER 999009999 1 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z RYAN GEHRIG 7301 ROGERS AVENUE FORT SMITH AR 72903 507609 0 0928 X WWW.MERCY.NET X 2007 AR AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 14 9 0 84 0 0 145572 120545 268626 351904 0 0 35160 35160 449358 507609 326903 382377 0 0 13109421 13992593 0 0 0 -12944367 -13772651 491957 602319 -42599 -94710 6116069 6567742 1075053 1114893 5041016 5452849 AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 0 0 -1253920 382377 351904 MERCY HEALTH FORT SMITH COMMUNITIES IS A SUPPORTING ORGANIZATION OF MERCY HOSPITAL FORT SMITH AND MERCY CLINIC FORT SMITH COMMUNITIES. MERCY HEALTH FORT SMITH COMMUNITIES ALSO PROVIDED SUPPORT SERVICES TO OTHER MEMBERS OF THE MERCY FORT SMITH COMMUNITY, INCLUDING MERCY HOSPITAL BOONEVILLE, MERCY HOSPITAL OZARK, MERCY HOSPITAL PARIS, AND MERCY HOSPITAL WALDRON. THE SUPPORT SERVICES INCLUDED FUNCTIONS THAT, BUT FOR MERCY HEALTH FORT SMITH COMMUNITIES, WOULD BE CONDUCTED BY EACH SEPARATE ORGANIZATION. -1253920 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X GRETA WILCHER 4793146000 7301 ROGERS AVENUE FORT SMITH AR 72903 X BAILEY DDS MARK BOARD MEMBER 1.00 0.00 X 0 0 0 CALLAWAY MD MICHAEL PHYSICIAN & BM 1.00 49.00 X 0 589425 31557 COOLEY JOHN BOARD MEMBER 1.00 1.00 X 0 0 0 GABORNI PAMELA PHYSICIAN & BM 1.00 39.00 X 0 272541 35551 GATTIS ERIN BOARD MEMBER 1.00 0.00 X 0 0 0 GEHRIG RYAN COMMUNITY PRESIDENT & BOARD MEMBER 10.00 40.00 X X 0 877210 105196 KOORIE RSM SR DIANE BOARD MEMBER 1.00 1.00 X 0 0 0 MACKEY DANIEL PHYSICIAN & BOARD MEMBER 1.00 45.00 X 0 819943 34955 RICHARDSON MD DERRICK PHYSICIAN & BM 1.00 39.00 X 0 860655 34883 SHEPARD RODNEY BOARD MEMBER 1.00 0.00 X 0 0 0 STEC CHRIS BOARD MEMBER 1.00 0.00 X 0 0 0 CLARK SCOTT BOARD MEMBER 1.00 0.00 X 0 0 0 MARTINEZ SANTIAGO MADELINE BOARD MEMBER 1.00 0.00 X 0 0 0 SMITH LES BOARD MEMBER 1.00 0.00 X 0 0 0 SWIFT KATHY BOARD MEMBER 1.00 0.00 X 0 0 0 ECKHARDT CHRISTIE VP, CHIEF OPERATIONS COUNSEL & SECRETARY 1.00 57.00 X 0 307029 26241 WILCHER GRETA CHIEF FINANCIAL OFFICER & TREASURER 5.00 45.00 X 0 295960 47469 BEAN PAUL E CHIEF OF MEDICAL AFFAIRS 10.00 30.00 X 0 464196 40442 GEIB RYAN C CHIEF OPERATING OFFICER 20.00 30.00 X 0 350627 62912 HUNTON MD DAVID PRESIDENT - CLINIC 10.00 40.00 X 0 730642 27870 STEC JULIANNE VP - OPERATIONS 25.00 25.00 X 0 247551 29522 FETSKO BRIAN VP MISSION 40.00 0.00 X 0 177833 17633 GUNTER MARC PHYSICIAN 40.00 0.00 X 0 616248 12494 HANNA MELISSA K DIRECTOR - QUALITY IMPROVEMENT 40.00 0.00 X 0 133872 40811 KUECK JANEEN VP OPERATIONS 40.00 0.00 X 0 222996 22904 SOUBIRON CHERI CHIEF NURSING OFFICER 40.00 0.00 X 0 250492 44099 RICHMOND JACQUELYNN FORMER OFFICER 2.00 53.00 X 0 658382 99975 0 7875602 714514 0 1 1 0 0 X 120545 120545 RENTAL INCOME FROM RELATED ORGANI 531120 275103 275103 OTHER OPERATING REVENUE 900099 65798 65798 NET PATIENT SERVICE REVENUE 622110 11003 11003 351904 35160 0 35160 35160 35160 507609 351904 0 35160 X 382377 382377 11011318 3597366 7413952 464991 151911 313080 1806854 590294 1216560 709430 231768 477662 446710 16817 429893 98812 3515 95297 441246 183638 257608 187 187 195810 53674 142136 69536 12334 57202 35144 35144 483489 1918 481571 1561671 1561671 SHARED SERVICE FEES -17517631 -6656700 -10860931 DRUGS & MEDICAL EXPENSE 171079 171079 REPAIRS & MAINTENANCE 77524 1876 75648 SUBSCRIPTIONS 45877 235 45642 117895 3978 113917 602319 -1253920 1856239 0 126373 19171991 12730622 6116069 6441369 6116069 6567742 51500 1075053 1063393 1075053 1114893 X 5041016 5452849 5041016 5452849 6116069 6567742 X -94710 506543 X X 0 1 X 1 1 1 X X 2 MERCY CLINIC FORT SMITH COMMUNITIES 261318597 3 1 0 0 MERCY HOSPITAL FORT SMITH 710240352 3 1 0 0 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2191004 2191004 3037220 544955 2492265 1093873 110698 983175 12849894 12074969 774925 6441369 FORM 990, SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE PRIMARILY ALL OF THE HEALTH SYSTEM ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. THE HEALTH SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2023 OR 2022. 1 FORT SMITH PUBLIC SCHOOLS 3205 JENNY LIND FORT SMITH AR 72902 716020978 GOV'T 105000 0 FOOTBALL STADIUM/SCIENCE LABS FOR HIGH SCHOOLS UNITED WAY PO BOX 2300 FORT SMITH AR 72902 710329530 501 (C) (3) 65000 0 COMMUNITY ASSISTANCE, DETERMINED BY UNITED WAY FORT SMITH CHAMBER OF COMMERCE 612 GARRISON AVE FORT SMITH AR 72901 710029620 501 (C) (6) 25404 0 CITY FUNDING UAFS FOUNDATION 5210 GRAND AVE FORT SMITH AR 72913 710394794 GOV'T 25000 0 ALUMNI PRESENTING SPONSORSHIP FORT SMITH SYMPHONY PO BOX 3151 FORT SMITH AR 72913 710292138 501 (C) (3) 22500 0 MUSICAL ARTS OF FORT SMITH CANCER SUPPORT FOUNDATION 3324 SOUTH M STREET FORT SMITH AR 72903 710507617 501 (C) (3) 20000 0 SAVING LIVES SPONSORSHIP GOOD SAMARITAN CLINIC 615 NORTH B STREET FORT SMITH AR 72902 710863639 501 (C) (3) 15000 0 COMMUNITY HEALTH AND WELLNESS THE PACK SHACK 1901 E LOWELL AVE CAVE SPRINGS AR 72718 463323793 501 (C) (3) 10750 0 MEALS FOR THOSE IN NEED IN THE COMMUNITY AR COLLEGES OF HEALTH ED 7000 CHAD COLLEY BOULEVARD FORT SMITH AR 72916 465138928 501 (C) (3) 10000 0 FUNDING FOR RESEARCH RMHC OF ARKOMA 1333 ARAPAHO AVE SUITE C SPRINGALE AR 72764 731563945 501 (C) (3) 10000 0 OVERNIGHT ACCOMMODATIONS FOR FAMILIES OF ADOLESCENT PATIENTS 9 1 PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANTS THE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. 1 0 0 0 0 0 0 0 0 GEHRIG RYAN COMMUNITY PRESIDENT & BOARD MEMBER 0 480656 0 342135 0 54419 0 85783 0 19413 0 982406 0 0 RICHARDSON MD DERRICK PHYSICIAN & BM 0 815269 0 16064 0 29322 0 19225 0 15658 0 895538 0 0 MACKEY DANIEL PHYSICIAN & BOARD MEMBER 0 756259 0 35442 0 28242 0 19225 0 15730 0 854898 0 0 HUNTON MD DAVID PRESIDENT - CLINIC 0 471003 0 208057 0 51582 0 13425 0 14445 0 758512 0 72761 RICHMOND JACQUELYNN FORMER OFFICER 0 476343 0 134105 0 47934 0 92562 0 7413 0 758357 0 0 GUNTER MARC PHYSICIAN 0 213606 0 0 0 402642 0 7720 0 4774 0 628742 0 0 CALLAWAY MD MICHAEL PHYSICIAN & BM 0 533219 0 27333 0 28873 0 19219 0 12338 0 620982 0 0 BEAN PAUL E CHIEF OF MEDICAL AFFAIRS 0 394648 0 43731 0 25817 0 21615 0 18827 0 504638 0 0 GEIB RYAN C CHIEF OPERATING OFFICER 0 256356 0 70455 0 23816 0 43126 0 19786 0 413539 0 0 WILCHER GRETA CHIEF FINANCIAL OFFICER & TREASURER 0 221058 0 39569 0 35333 0 34151 0 13318 0 343429 0 0 ECKHARDT CHRISTIE VP, CHIEF OPERATIONS COUNSEL & SECRE 0 244381 0 30223 0 32425 0 10189 0 16052 0 333270 0 0 GABORNI PAMELA PHYSICIAN & BM 0 218093 0 7200 0 47248 0 16426 0 19125 0 308092 0 0 SOUBIRON CHERI CHIEF NURSING OFFICER 0 174121 0 57702 0 18669 0 33303 0 10796 0 294591 0 0 STEC JULIANNE VP - OPERATIONS 0 181580 0 32307 0 33664 0 15603 0 13919 0 277073 0 0 KUECK JANEEN VP OPERATIONS 0 183820 0 30648 0 8528 0 16038 0 6866 0 245900 0 0 FETSKO BRIAN VP MISSION 0 117021 0 23804 0 37008 0 10226 0 7407 0 195466 0 0 HANNA MELISSA K DIRECTOR - QUALITY IMPROVEMENT 0 106643 0 6982 0 20247 0 21786 0 19025 0 174683 0 0 FORM 990, SCHEDULE J, PART I, QUESTION 3 MERCY HEALTH FORT SMITH COMMUNITIES RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. FORM 990, SCHEDULE J, PART I, QUESTION 4A THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2022: MARC GUNTER - $390,360 FORM 990, SCHEDULE J, PART II THE AMOUNTS REPORTED FOR DAVID HUNTON IN COLUMN (F) ARE EITHER INCLUDED IN B(I) BASE COMPENSATION, B(II) AS BONUS AND INCENTIVE COMPENSATION, OR B(III) AS OTHER REPORTABLE COMPENSATION. THESE AMOUNTS ARE A PAYOUT OF THE SUPPLEMENTAL RETIREMENT PLAN AND EXECUTIVE RETENTION PLAN AND WERE INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990. FORM 990, PART V, QUESTION 1A FORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. FORM 990, PART V, QUESTION 2A W-3 FILING MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, REQUIRED PAYROLL FILING (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES, EIN 20-2553101. FORM 990, PART VI, SECTION A, LINE 6 THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH. FORM 990, PART VI, SECTION A, LINE 7A MERCY HEALTH (THE SOLE CORPORATE MEMBER) HAS THE AUTHORITY TO: - APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD; - THROUGH THE SOLE ACTION OF THE PRESIDENT OF MERCY, TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT OF THE CORPORATION WHO SHALL SERVE AS THE PRESIDENT OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B MERCY HEALTH (THE SOLE CORPORATE MEMBER) HAS RESERVED SOLELY THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES: - APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION, AND ALL ORGANIZATIONS CONTROLLED BY THE CORPORATION, SHALL OPERATE; - ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION AND TO AMEND THE ORGANIZATIONAL AND GOVERNANCE DOCUMENTS OF EACH ORGANIZATION CONTROLLED BY THE CORPORATION; - APPROVE OR AMEND THE STRATEGIC, LONG RANGE, AND HEALTH MANPOWER DEVELOPMENT PLANS, GOALS, AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - APPROVE OR AMEND THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION, AND CHANGES IN THE BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; - ASSIGN, TRANSFER, LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; - ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; - MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; AND - APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B DSCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY MERCY HEALTH'S TAX DEPARTMENT, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM, INCLUDING THE DIRECTOR OF FINANCE AND THE CHIEF FINANCIAL OFFICER. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORMS 990. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2023. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S CORPORATE COMPLIANCE DEPARTMENT. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S SENIOR VICE PRESIDENT OF FINANCIAL OPERATIONS & PLANNING, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. THE QUESTIONNAIRES ARE THEN REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. FORM 990, PART VI, LINE 2 OFFICER, DIRECTOR, TRUSTEE, KEY EMPLOYEE FAMILY OR BUSINESS RELATIONSHIP CHRIS STEC AND JULIANNE STEC HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 15A-15B FOR THE TOP MANAGEMENT OFFICIALS, THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS) AND KEY EMPLOYEES, THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. FORM 990, PART VII, SECTION A FORMER EMPLOYEE COMPENSATION IS REPORTED FOR THE CALENDAR YEAR ENDING WITHIN THE ORGANIZATION'S FISCAL YEAR WHILE AVERAGE HOURS ARE BASED ON THE FISCAL YEAR PERIOD FROM JULY 1, 2022 THROUGH JUNE 30, 2023. FORM 990, PART VIII IMPACT OF COVID-19 PANDEMIC EARLY IN 2020, THE MERCY HEALTH SYSTEM WAS CALLED TO SERVE AS THE COVID-19 PANDEMIC SWEPT ACROSS THE WORLD. DURING FY 2023, THE IMPACT OF COVID-19 AND INFLATION HAS BEEN AND STILL IS SIGNIFICANT TO OUR COMMUNITIES WITH CHANGES IN PATIENT CARE REVENUES DUE TO SURGES, INCREASING THE COSTS OF SALARIES AND AGENCY LABOR, AND SUPPLY CHAIN IMPACTS. ALL MERCY FACILITIES ADJUSTED OPERATIONS FOR THE IMPACTS OF THE PANDEMIC. IN ADDITION, MERCY FOUNDATIONS AND OUTREACH MINISTRIES EXPERIENCED LIMITATIONS IN FUNDRAISING FOR PROGRAM AND CAPITAL SUPPORT EFFORTS THAT ASSIST THE UNDERSERVED IN OUR COMMUNITIES. MERCY DID RECEIVE FUNDING FROM THE CORONAVIRUS AID RELIEF AND ECONOMIC SECURITY ACT ("CARES ACT"). MERCY RECEIVED CARES ACT FUNDING FOR THE PAST FOUR FISCAL YEARS ACROSS VARIOUS ENTITIES AND RECOGNIZED A PORTION OF THIS FUNDING IN OTHER OPERATING REVENUE. THESE FUNDS HELPED TO OFFSET REVENUE LOSSES AND ADDITIONAL EXPENSES INCURRED DUE TO THE PANDEMIC; HOWEVER, THESE FUNDS FELL SHORT OF THE SYSTEM LOSSES EXPERIENCED SINCE THE START OF THE PANDEMIC. MERCY CONTINUES TO MONITOR THE IMPACTS OF THE PANDEMIC BOTH TO THE HEALTH SYSTEM AND THE COMMUNITIES SERVED AS WE CONTINUE TO PROVIDE ASSISTANCE AND MAINTAIN ACCESS TO CARE WITHIN OUR COMMUNITIES. FORM 990, PART IX, LINE 11G OTHER SERVICES: PROGRAM SERVICE EXPENSES 16,817. MANAGEMENT AND GENERAL EXPENSES 429,893. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 446,710. FORM 990, PART IX, LINE 24E BOARD EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 29,998. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,998. DELIVERY SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 25,875. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,875. DUES & LICENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 19,974. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,974. OTHER MISCELLANEOUS EXPENSE: PROGRAM SERVICE EXPENSES 3,978. MANAGEMENT AND GENERAL EXPENSES 10,117. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,095. OTHER EMPLOYEE REIMBURSEMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 13,773. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,773. EDUCATION/SEMINAR: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 11,028. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,028. RECRUITMENT COST: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,325. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,325. SPECIAL PROJECTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,250. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,250. GIFT SHOP EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 510. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 510. BOOKS & OTHER MEDIA: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 67. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 67. FORM 990, PART XI, LINE 9: NET TRANSFERS (TO)/FROM AFFILIATES 506,543. FORM 990, PART XII, QUESTION 2C AUDIT OF FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2023 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION WAS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. FORM 990, PART XII, QUESTION 3A AND 3B SINGLE AUDIT ACT AND 2 CFR 200 AUDIT MERCY HEALTH UNDERGOES A CONSOLIDATED 2 CFR 200 AUDIT EVERY YEAR AND THIS AUDIT WAS COMPLETED FOR THE FISCAL YEAR ENDING JUNE 30, 2023 BY MARCH 31, 2024. EACH ENTITY THAT RECEIVES FEDERAL FUNDS DURING THE YEAR IS INCLUDED ON THE SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS (SEFA) AND IS ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. IF THE FILING ENTITY RECEIVED FEDERAL FUNDS DURING THE YEAR ENDED JUNE 30, 2023, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. CASA DE MISERICORDIA 1000 MIER ST LAREDO TX 78040 742912461 WOMEN'S DOMESTIC VIOLENCE SHELTER TX 501(C)(3) LINE 7 MERCY MINISTRIES OF LAREDO 1 MCAULEY PORTFOLIO MANAGEMENT COMPANY 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 261708048 PORTFOLIO MANAGEMENT. MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY ACO CLINICAL SERVICES INC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 464504901 VIRTUAL CARE CENTER MO 501(C)(3) LINE 3 MERCY HEALTH 1 MERCY CLINIC EAST COMMUNITIES 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431771217 PHYSICIAN GROUP MO 501(C)(3) LINE 10 MERCY HEALTH EAST COMMUNITIES 1 MERCY CLINIC FORT SMITH COMMUNITIES 7301 ROGERS AVENUE FORT SMITH AR 72903 261318597 PHYSICIAN CLINIC AR 501(C)(3) LINE 3 MERCY HEALTH FORT SMITH COMMUNITIES 1 MERCY CLINIC OKLAHOMA COMMUNITIES INC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 270473057 PHYSICIAN GROUP OK 501(C)(3) LINE 3 MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY CLINIC SPRINGFIELD COMMUNITIES 1965 FREMONT STREET SUITE 200 SPRINGFIELD MO 65804 431560263 PHYSICIAN GROUP MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY FAMILY CENTER 110 VETERANS BLVD METAIRIE LA 70005 721069468 FAMILY COUNSELING SERVICE LA 501(C)(3) LINE 7 MERCY HEALTH 1 MERCY HEALTH 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431423050 CORPORATE OFFICE MO 501(C)(3) LINE 1 N/A 0 MERCY HEALTH EAST COMMUNITIES 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431718408 HEALTH SYSTEM MO 501(C)(3) LINE 12A, I MERCY HEALTH 1 MERCY HEALTH FOUNDATION 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 200901499 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HEALTH FOUNDATION ADA 430 N MONTE VISTA STREET ADA OK 74820 463596274 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HOSPITAL ADA INC 1 MERCY HEALTH FOUNDATION ARDMORE 1011 14TH AVENUE NW ARDMORE OK 73401 710962525 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HOSPITAL ARDMORE INC 1 MERCY HEALTH FOUNDATION BERRYVILLE 214 CARTER STREET BERRYVILLE AR 72616 710759301 FOUNDATION AR 501(C)(3) LINE 12A, I MERCY HOSPITAL BERRYVILLE 1 MERCY HEALTH FOUNDATION FORT SCOTT 401 WOODLAND HILLS BLVD FORT SCOTT KS 66701 481077073 FOUNDATION KS 501(C)(3) LINE 7 MERCY KANSAS COMMUNITIES INC 1 MERCY HEALTH FOUNDATION FORT SMITH 7301 ROGERS AVENUE FORT SMITH AR 72917 237330425 FOUNDATION AR 501(C)(3) LINE 7 MERCY HEALTH FORT SMITH COMMUNITIES 1 MERCY HEALTH FOUNDATION JEFFERSON 1400 US HIGHWAY 61 SOUTH FESTUS MO 63028 462797051 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HOSPITAL JEFFERSON 1 MERCY HEALTH FOUNDATION JOPLIN 100 MERCY WAY JOPLIN MO 64804 270906136 FOUNDATION MO 501(C)(3) LINE 7 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY HEALTH FOUNDATION LEBANON 100 HOSPITAL DRIVE LEBANON MO 65536 822514567 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HOSPITAL LEBANON 1 MERCY HEALTH FOUNDATION LINCOLN 1000 EAST CHERRY STREET TROY MO 63379 811477159 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HOSPITALS EAST COMMUNITIES 1 MERCY HEALTH FOUNDATION NORTHWEST ARKANSAS 2710 RIFE MEDICAL LANE ROGERS AR 72758 710601687 FOUNDATION AR 501(C)(3) LINE 7 MERCY HOSPITAL ROGERS 1 MERCY HEALTH FOUNDATION OF OKLAHOMA 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 454732301 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY HEALTH FOUNDATION OKLAHOMA CITY 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 463184231 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HOSPITAL OKLAHOMA CITY INC 1 MERCY HEALTH FOUNDATION SPRINGFIELD 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 320195818 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HEALTH FOUNDATION ST FRANCIS 100 W HIGHWAY 60 MOUNTAIN VIEW MO 65548 431873914 FOUNDATION MO 501(C)(3) LINE 12A, I MERCY ST FRANCIS HOSPITAL 1 MERCY HEALTH FOUNDATION ST LOUIS 615 SOUTH NEW BALLAS ROAD ST LOUIS MO 63141 562410020 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH FOUNDATION WASHINGTON 901 E FIFTH STREET WASHINGTON MO 63090 562410022 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES 2710 RIFE MEDICAL LANE ROGERS AR 72758 621684203 PHYSICIAN GROUP AR 501(C)(3) LINE 10 MERCY HEALTH 1 MERCY HEALTH OKLAHOMA COMMUNITIES INC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731453048 HEALTH SYSTEM OK 501(C)(3) LINE 12A, I MERCY HEALTH 1 MERCY HEALTH SOUTHWEST MISSOURIKANSAS COMMUNITIES 100 MERCY WAY JOPLIN MO 64804 300584463 HEALTH SYSTEM MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HEALTH SPRINGFIELD COMMUNITIES 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 431856028 HEALTH SYSTEM MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HOSPITAL ADA INC 430 N MONTE VISTA STREET ADA OK 74820 462288155 HOSPITAL OK 501(C)(3) LINE 3 MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY HOSPITAL ARDMORE INC 1011 14TH AVENUE NW ARDMORE OK 73401 731500629 HOSPITAL OK 501(C)(3) LINE 3 MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY HOSPITAL AURORA 500 PORTER AVENUE AURORA MO 65605 431936696 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HOSPITAL BERRYVILLE 214 CARTER STREET BERRYVILLE AR 72616 710759299 HOSPITAL AR 501(C)(3) LINE 3 MERCY HEALTH NW ARK COMMUNITIES 1 MERCY HOSPITAL BOONEVILLE 880 WEST MAIN STREET BOONEVILLE AR 72927 463851119 HOSPITAL AR 501(C)(3) 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ANTHONY'S PHYSICIAN ORGANIZATION 10010 KENNERLY ROAD ST LOUIS MO 63128 431784536 HEALTH CARE MO 501(C)(3) LINE 3 MERCY HOSPITAL SOUTH 1 MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS 1619 W 7TH STREET GALENA KS 66739 843730625 HOSPITAL KS 501(C)(3) LINE 3 MERCY HEALTH SW MOKS COMMUNITIES 1 FORT SMITH EMERGENCY MEDICAL SERVICES 1701 S GREENWOOD FORT SMITH AR 72901 710416615 EMERGENCY MEDICAL SERVICES AR MERCY HOSPITAL FORT SMITH 0 0 PLAZA SURGERY SERVICES COMPANY LLC 12700 SOUTHFORK ROAD ST LOUIS MO 63128 204709312 INACTIVE MO MERCY HOSPITAL SOUTH 0 0 ST EDWARD MERCY MC M-P OFFICE BLDG 7301 ROGERS AVENUE FORT SMITH AR 72903 710554050 OFFICE BUILDING AR MERCY HOSPITAL FORT SMITH 0 0 PLATINUM CPS HOLDINGS LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 842493007 HOLDING COMPANY MO MERCY MANAGED CARE CORP MERCY HEALTH 0 0 MARYVILLE CANCER CENTER LLC 2227 VADALABENE DRIVE MARYVILLE IL 62062 813385885 OUTPATIENT CENTER IL MERCY HEALTH EAST COMMUNITIES 0 0 FRONTENAC PROPERTIES INC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 521914421 HOLDING COMPANY DE MERCY HEALTH C 0 MERCY COMMERCIAL SERVICES INC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 464953543 CORP PARENT OF VCC TAXABLE COMMERCIALIZ SVCS MO MERCY HEALTH C 0 MERCY HEALTH CENTER CONDOMINIUM INC 4300 W MEMORIAL RD OKLAHOMA CITY OK 73120 680640970 REAL ESTATE OK MERCY HOSPITAL OKLAHOMA CITY INC C 0 MERCY MANAGED CARE CORPORATION 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 731441665 HOLDING COMPANY OK MERCY HEALTH C 0 ST ANTHONY'S PHYSICIAN ORGANIZATION OF ILLINOIS 10010 KENNERLY ROAD ST LOUIS MO 63128 320457168 HEALTH CARE MO MERCY HOSPITAL SOUTH C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 MHM SUPPORT SERVICES Q 7030922 FMV MERCY HOSPITAL FORT SMITH Q 6542479 FMV MERCY HEALTH FOUNDATION FORT SMITH C 120545 FMV FORM 990, SCHEDULE R, PART II MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITAL ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITAL WASHINGTON, EIN 43-1066883. FORM 990, SCHEDULE R, PART V LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q.